在德克萨斯州青少年抑郁和自杀研究网络 (TX-YDSRN) 中以测量为基础的护理的特征
Holli Slater1, Yasmin AlZubi1, Afsaneh Rezaeizadeh1
1Center for Depression Research and Clinical Care, Peter O'Donnell Jr. Brain Institute and Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9119, USA.
Child psychiatry and human development
|February 10, 2024
概括
基于测量的护理 (MBC) 改善了抑郁症的治疗. 然而,由于缺乏标准化工具,评估MBC忠实性是具有挑战性的. 这项研究开发了一种工具,用于评估德克萨斯州青少年心理健康护理中的MBC实践.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于测量的护理 (MBC) 整合显示了增强抑郁症治疗结果的潜力.
- 在各种临床环境中对MBC模型的忠实性进行评估,由于没有金标准衡量标准,因此受到阻碍.
- 德克萨斯州青少年抑郁和自杀研究网络 (TX-YDSRN) 旨在在青少年抑郁症护理中标准化MBC评估.
研究的目的:
- 开发和验证一个标准化工具,用于评估MBC策略在临床管理抑郁和焦虑.
- 描述德克萨斯州青少年心理健康服务中MBC实施的现状.
- 评估使用标准化措施来评估抑郁症,焦虑,副作用和治疗坚持程度.
主要方法:
- 在TX-YDSRN.内进行了临床访问的图表审查.
- 审查的重点是使用标准化措施与临床访谈来评估关键治疗组件.
- 收集了关于使用MBC策略治疗抑郁症,焦虑症,药物坚持和副作用的数据.
主要成果:
- 经常使用抑郁症 (71.2%) 和焦虑症 (64%) 的标准化测量方法.
- 应用标准化药物坚持和副作用的措施显著低 (<6%),临床采访是主要的方法.
- 尽管标准化依从性/副作用测量措施的使用率较低,但近一半的病例发生了药物改变.
- 在接受一种或多种形式的MBC的参与者之间,标准化措施的利用率没有显著差异.
结论:
- 虽然对抑郁和焦虑的标准化措施是常见的,但它们用于评估青少年抑郁症护理中的药物坚持和副作用需要改进.
- 开发的TX-YDSRN工具提供了一种标准化的方法来评估MBC忠实度,这对于质量改进计划至关重要.
- 需要进行进一步的研究,以加强全面的MBC实践的一致应用,包括遵守和副作用监测.
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